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器械吻合与手工吻合在食管癌手术中的对比分析
引用本文:潘铁成,邱雪峰,李军,汤应雄,赵金平,陈涛,魏翔,宋定伟,张霓.器械吻合与手工吻合在食管癌手术中的对比分析[J].中国胸心血管外科临床杂志,2005,12(4):253-255.
作者姓名:潘铁成  邱雪峰  李军  汤应雄  赵金平  陈涛  魏翔  宋定伟  张霓
作者单位:华中科技大学同济医学院附属同济医院,胸心外科,武汉,430030
摘    要:目的评价食管癌手术中采用器械吻合的应用价值。方法选择我院1988年1月~2002年12月15年间需行食管癌、贲门癌切除术患者568例,按术中采用手工吻合或器械吻合分为手工吻合组和器械吻合组,比较两组术后情况及与吻合技术相关的并发症发生率。结果器械吻合组胃食管吻合时间、总手术时间、术后开始进食时间均较手工吻合组缩短(P<0.01),而术后住院时间两组差别无统计学意义;吻合口瘘、吻合口狭窄、吻合口出血、呼吸循环并发症发生率和围手术期死亡率器械吻合组均较手工吻合组低(2.1%、1.4%、0%、2.8%和0.7%vs.6.8%、4.3%、1.4%、16.5%和2.9%),两组患者胃食管反流差别无统计学意义(P>0.05)。结论器械吻合能明显缩短食管胃吻合时间及总手术时间,有效降低术后并发症发生率。

关 键 词:食管癌  吻合器  器械吻合
文章编号:1007-4848(2005)04-0253-03
修稿时间:2004年5月28日

The Comparative Analysis of Mechanical Suture and Manual Suture in Surgery of Esophageal Carcinoma
PAN Tie-cheng,QIU Xue-feng,LI Jun,TANG Ying-xiong,ZHAO Jin-ping,CHEN Tao,WEI Xiang,SONG Ding-wei,ZHANG Ni.The Comparative Analysis of Mechanical Suture and Manual Suture in Surgery of Esophageal Carcinoma[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2005,12(4):253-255.
Authors:PAN Tie-cheng  QIU Xue-feng  LI Jun  TANG Ying-xiong  ZHAO Jin-ping  CHEN Tao  WEI Xiang  SONG Ding-wei  ZHANG Ni
Abstract:Objective To evaluate the effect of mechanical suture in surgery of esophageal carcinoma. Methods Five hundred and sixty-eight cases of esophagogastrostomy and esophagojejunostomy for esophageal and cardiac carcinoma were collected in our hospital between January,1988 and December,2002.They were devided into two groups according to the methods of anastomoses, the group by stapler and the group with hand. The incidence of postoperative complications in the two groups was compared. Results The time of esophagogastrostomy, the total operating time, and postoperative fasting time of group by stapler were shorter than those of group with hand (P<0.01), and there was no statistically difference in the median hospitalized time after operation for two groups. The anastomotic leakage,anastomotic stricture, anastomotic bleeding , incidence of postoperative complications in respiration and circulation and mortality rate of group by stapler were lowed than those of group with hand (2.1%,1.4%,0%,2.8% and 0.7% vs. 6.8%,4.3%,1.4%,16.5% and 2.9%). There was no statistical difference in the postoperative gastro-esophageal reflux for two groups (P>0.05). Conclusion The median time of (esophagogastrostomy and the median) operating time by stapler are decreased and the incidence of postoperative complications is decreased.
Keywords:Esophageal carcinoma  Stapler  Mechanical suture
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